Contact the DRC Appointment and General Information Request Please respond to the questions below and someone will contact you as soon as possible.If you have any difficulty with this form, please leave us a message at 760-744-1150, ext. 2375.NOTE: Remote DRC Drop-In Counseling is held Monday through Thursday, 10:00-11:00 a.m. and 2:00-3:00 p.m. If you are interested in a DRC Counselor calling you for a 10-15 minute phone or Zoom drop-in counseling session, email firstname.lastname@example.org or call 760-744-1150, ext. 2375 during this timeframe.Your Name* First Last Palomar Student ID*Email Address* Enter Email Confirm Email Phone Number*How can we help you? (check all that apply)* Requesting a counseling appointment with a DRC Counselor Requesting updated accommodation/Accommodation Letters I have a question involving test proctoring Alternate media (electronic textbooks or assistive technology) Other Briefly describe your question or request:*Your preferred method of communication:* Email Phone Video Meeting (thru Zoom) FERPA Disclaimer:*Due to the abrupt transition to remote services as a result of the college response to the COVID-19 virus, DRC is seeking to maintain services for students through creative ways. In order to comply with Family Education Rights and Privacy Act (FERPA), a two question identification authentication will be required prior to releasing student academic information over the phone, or in the remote counseling environments. I grant permission for Palomar DRC to release my academic information during a remote counseling appointment conducted by phone, email or video (Zoom). Click to acknowledge that you have read and agree to the above paragraph.